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Proper management of acute postoperative pain (DAPO) is essential for the recovery of orthopedic surgeries. The blockade of the femoral nerve preincisional (BFP) is simple and its effectiveness increases guided by ultrasound and neurostimulation. OBJECTIVE: To evaluate the effectiveness of BFP in patients undergoing orthopedic surgery of the lower limbs under general anesthesia. METHODS: A comparative study was conducted, randomized, two groups, surgeries of the hip, femur and knee, ASA I-II, aged 18 years. Group B (n = 15) received BFP and ultrasound-guided nerve stimulation with 20 ml of bupivacaine 0.5% plus epinephrine 1: 200,000. Group S (n = 15) without blocking. Both groups received intravenous analgesia with ketoprofen 100 mg regimen and dipyrone 1g c / 8 hs and balanced general anesthesia. Postoperative morphine 0.03 mgr / kgr / weight was administered if EVA ≥4
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| femoral block by US and NE and intravenous analgesia | Experimental | preincisional femoral block by ultrasound and neurostimulation, with 20 ml bupivacaine 0,5% and epinephrine. ketoprofen, dipyrone and dexamethasone IV. Morphine IV to rescue analgesia |
|
| Intravenous analgesia | Experimental | Intravenous analgesia with ketoprofen, dipyrone and morphine. IV morphine to rescue analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Femoral block by ultrasound and neurostimulation | Procedure |
| ||
| Intravenous analgesia |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperatory EVA values and need for rescue analgesia with IV morphine | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Beatriz S Arismendi Gomez, MD | Hospital "Dr Luis Ortega" | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Servicio de Anestesiologia Hospital "Dr. Luis Ortega" | Porlamar | Nueva Esparta | 6301 | Venezuela |
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| Drug |
Intravenous analgesia with ketoprofen, dipyrone and dexamethasone. IV morphine to rescue analgesia |
|